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Some patients with chronic rhinosinusitis have been found to colonization of bacteria within their nose and sinuses. A common bacterium isolated has been Staph aureus. In these instances, patients may improve with adding an antibiotic to the saline irrigations.

Follow the directions below after discussing with your physician:

  • Wash your hands with soap and warm water before mixing the solution and before irrigation.
  • Squirt 1/2 of the 15 gram tube of Bacroban ointment into a one liter bottle of normal saline and tightly cap the bottle. The ointment is water soluble so it will dissolve. Let the bottle sit at room temperature, shaking it occasionally until the ointment is dissolved. Keep the solution refrigerated after it has been mixed.
  • When you are ready to do the irrigations, pour out a small amount of the solution into a clean bowl and let it come to room temperature over 10 - 15 minutes. Do not microwave the solution.
  • Draw the solution into the bulb syringe or NeilMed rinse bottle and squirt it into your nose as forcefully as you can without causing pain. One to three good squirts should be sufficient on each side, depending upon how much mucus is flushed out.
  • Keep the bulb or rinse bottle in a clean, dry place. Twice a week, flush it out in a sink with 1 part chlorine bleach and 100 parts warm water.

Your physician will prescribe how often you should perform the irrigations to give best treatments.

Hardin Memorial Hospital. 913 N. Dixie Ave. Elizabethtown KY 42701.
Phone (270) 737-1212
Contact HMH